Obstetrics and Gynecology
Uchenna Kenneth Ezemagu; Godwin Chinedu Uzomba; Chukwuemeka Ubochi; Rachel Ogbu; Augustine Oseloka Ibegbu; Friday Chubuzor Egba; Olisa Onuora; Paul O. Ezeonu; Thecla Ezeonu
Volume 9, Issue 2 , March and April 2024, , Pages 174-184
Abstract
Background & Objective: We considered maternal and birth anthropometric features and fetal sex in developing a labor protocol.Materials & Methods: A prospective study of 400 mothers, having healthy pregnancies and their newborn singletons in gynecology ward of Alex Ekwueme Federal University ...
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Background & Objective: We considered maternal and birth anthropometric features and fetal sex in developing a labor protocol.Materials & Methods: A prospective study of 400 mothers, having healthy pregnancies and their newborn singletons in gynecology ward of Alex Ekwueme Federal University Teaching Hospital, Abakaliki. The study adopted a convenient sampling technique to select the volunteers from 1st July to December 2020. Birth and maternal anthropometries; BMI, height, weight, birth head girth (BHG), waist girth (WG), hip girth (HG) and delivery outcomes: birth mode and duration of 1st and 2nd phases of labor, and Apgar score at 1 minute of birth were measured, using Institute of Medicine guidelines.Results: Maternal age, weight, and HG, and WG at term pregnancy and fetal sex could determine birth mode and weight (P<0.05). The associations for duration of 1st phase of labor and maternal and birth anthropometries were inconsistent. Fetal sex, birth mode and features and maternal anthropometries; body fat, age, BMI and HG were associated with duration of 2nd phase of labor and Apgar score.Conclusion: Maternal anthropometries predispose birth features, and advance age of mothers, relatively large WHR and fetal macrosomia at term pregnancy could increase duration of 2nd phase of labor and risk of a male birth, developing abnormal Apgar score. The strong association between anthropometric variables of a mother and her baby suggests that anthropometric investigations could enhance the choice of birth mode and minimize vaginal birth complications. The study emphasized on the need of a sex specific state-of-the art anthropometric investigations at term pregnancy.
Obstetrics and Gynecology
Sara A. Al-Rawaf; Enas T Mousa
Volume 9, Issue 1 , January and February 2024, , Pages 88-94
Abstract
Background & Objective: Inducing labor is a common practice in obstetrics to prevent maternal and fetal complications. There are several methods of labor induction, including pharmacological and mechanical approaches. The objective of this study was to determine the most effective approach for ...
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Background & Objective: Inducing labor is a common practice in obstetrics to prevent maternal and fetal complications. There are several methods of labor induction, including pharmacological and mechanical approaches. The objective of this study was to determine the most effective approach for labor induction.Materials & Methods: A cross-sectional study at Al-Kadhimiya Teaching Hospital compared labor induction in pregnant females at their third trimester using Misoprostol & Foley Catheter (group A) and Misoprostol alone (group B). The study collected data on maternal age, gestational age, BMI, time frames, mode of delivery, and neonatal outcomes such as Apgar scores and ICU admissions.Results: In a cross-sectional study comparing labor induction with Misoprostol & Foley Catheter (group A) vs. Misoprostol alone (group B), most females in both groups had no cesarean section inductions, normal vaginal deliveries, and no complications. The study found significant differences in BMI, time frame, and time for ripening between the two groups, with group A having lower values for these variables.Conclusion: Foley's with vaginal misoprostol results in a shortened time between induction and delivery than misoprostol alone.
